Kayla Lee Ellen Louise Bickford
Individual provider Active NPI Registered Nurse · Buffalo, MN
NPI 1669959508 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1669959508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2461348 (MN)
- Practice address
- 25 1St Ave NE Ste 100TH
Buffalo, MN 55313-1568 - Phone
- (763) 682-3005
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2461348 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2461348 | MN | Yes |
Addresses
Primary practice location
25 1St Ave NE Ste 100TH
Buffalo, MN 55313-1568
Mailing address
25 1St Ave NE Ste 100TH
Buffalo, MN 55313-1568
Other providers in Buffalo, MN
- Shawna Mae Beckers
- Stacy Behrens
- Brittany Joy Berge
- Jessica Bergman
- BFS PA
- Bio-Medical Applications of Minnesota, Inc.
- Tamra L Blahut
- Cleo Sharon Boll
- Bianca Bonniwell
- Brenner Dental Group
All providers in Buffalo, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.